Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LAKE STREET FAMILY DENTAL PA
NPI: 1083096085 · MORA, MN 55051 ·
122300000X
$26K
Total Medicaid Paid
842
Total Claims
821
Beneficiaries
7
Codes Billed
2018-03
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
118
$0.00
2019
190
$7K
2020
48
$2K
2021
37
$789.61
2022
123
$5K
2023
182
$7K
2024
144
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
258
256
$11K
D0120
388
377
$10K
D1206
128
125
$3K
D2392
15
12
$1K
D0274
24
24
$818.34
D1120
14
14
$439.39
D0330
15
13
$0.00